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General NPI Number Information
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NPI Number | 1679919724
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Entity Type | Individual
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Provider Name | RYAN DARYL MELVIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 625 W BALDWIN RD STE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-3359
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Country | US
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Telephone | 850-769-0329
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Fax | 844-563-8135
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Provider Business Mailing Address
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Address Line | 625 W BALDWIN RD STE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-3359
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Country | US
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Telephone | 850-769-0329
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Fax | 844-563-8135
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS17630
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License Number State | FL
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